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Nursing homeFAID #4339

Accura Healthcare of Toledo

403 GRANDVIEW DRIVE, TOLEDO, IA, 52342
(641) 484-5080
accura.healthcare
55 licensed beds
★★★★★3/5CMS Five-Star overall4/5 health inspections2/5 staffing1/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
55
CMS facility ID
165450
Care type
Nursing home
County
Tama
Facility name
Accura Healthcare of Toledo
Street address
403 GRANDVIEW DRIVE
City / state / ZIP
Toledo, IA 52342
Phone
(641) 484-5080
Website
accura.healthcare

About this facility — Accura Healthcare of Toledo

Accura Healthcare of Toledo is a Medicare/Medicaid-certified skilled nursing facility in Toledo, Iowa. It is licensed for 55 beds — close to the median for skilled nursing facilities in Iowa (57 beds).

It is one of 3 senior care facilities in Toledo and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Accura Healthcare of Toledo 36 times across 10 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Accura Healthcare
Ownership type
For profit - Corporation

Registered owners & officers

Accura Management Consulting Services Llc
Operational control · Additional disclosable party — since 2025
Allen, Brady
Indirect owner · Operational control · Additional disclosable party — since 2025
Avenue94 Llc
Indirect owner — since 2025
Aviv Financing Ii Llc
Additional disclosable party — since 2025
Aviv Healthcare Holdings Llc
Indirect owner — since 2025
Aviv Healthcare of the Midwest Llc
Direct owner · Additional disclosable party — since 2025
Aviv Healthcare Properties Operating Partnership I Lp
Additional disclosable party — since 2025
Aviv Op Limited Partner Llc
Additional disclosable party — since 2025
Bishop, Andrew
Operational control · Additional disclosable party — since 2025
Glaser, Kristopher
Operational control · Additional disclosable party — since 2024
Jones, Brenda
Operational control · Additional disclosable party — since 2025
Kimmons Healthcare Investments Llc
Indirect owner — since 2025
Kleinsasser, Megan
Indirect owner · Operational control · Additional disclosable party — since 2025
Ktl Enterprises Llc
Indirect owner — since 2025
Leneave, Ted
Indirect owner · Operational control · Additional disclosable party — since 2025
Little River Investments Llc
Indirect owner — since 2025
Muscatine Toledo Properties Llc
Additional disclosable party — since 2025
Ohi Healthcare Properties Limited Partnership
Additional disclosable party — since 2025
Omega Healthcare Investors Inc
Additional disclosable party — since 2025
Toti, Lisa
Indirect owner · Operational control · Additional disclosable party — since 2025
Zesch, Candace
Operational control · Additional disclosable party — since 2025
Zrr Opco Llc
Indirect owner — since 2025

Regulatory standing

Federal court records
1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2002-04-01
CMS overall rating
3 of 5 stars
Health deficiencies
4 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-01-08
Nurse staffing
2.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$318 per day (≈ $9,670/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
63% Medicaid · 5% Medicare · 32% private/other
Occupancy
61% (fiscal year 2023)
Vs. state median
7% below the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
55
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-04-28Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-05-22
2026-01-08Health inspection3 citations
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-30
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-01-30
F-0791
D · No harm found
Provide or obtain dental services for each resident.
Corrected 2026-01-30
6 earlier / fire-safety inspections (32 citations)
2024-11-21Health inspectionComplaint-triggered4 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-12-09
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-12-09
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-09
F-0851
B · No harm found
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-12-09
2024-08-22Health inspectionComplaint-triggered2 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-08
F-0825
D · No harm foundFrom a complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2024-09-08
2023-12-12Health inspectionComplaint-triggered6 citations
F-0578
D · No harm found
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-01-05
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-01-05
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-01-05
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-01-05
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-01-05
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-01-05
2026-01-08Fire-safety inspection6 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2026-01-15
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-01-07
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2026-01-15
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2026-01-19
K-0918
E · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-01-19
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2026-01-07
2024-11-21Fire-safety inspection5 citations
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-26
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-12-25
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-12-02
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-04
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-12-02
2023-12-12Fire-safety inspection9 citations
K-0222
F · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-12-29
K-0291
E · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-12-12
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2023-12-16
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-12-16
K-0347
F · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-12-16
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-12-13
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-12
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-01-03
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2023-12-12
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165450.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 36 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered